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Home › KY › Somerset › Wendy's Wonderland III
4996 S. Hwy 27, Somerset KY 42501 · License #L383471 · Center · Licensed
When they operate
Schedule type not published.
Ages served
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on interview and review of documentation, there was no allergy can plan posted for a child for whom allergies were identified in the enrollment record.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview and review of documentation, a written procedure to always maintain supervision, ratios, and group size requirements during the beginning of the day, staff breaks, and movement from one (1) location to another had not yet been development by the time of the inspection. General Administration Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation in the Infant/Toddler Classroom, one (1) electrical outlet was uncovered.
Open Not marked corrected in the state record
Open / not marked corrected.
Generated from this facility's specific inspection record
Data synced from Kentucky Cabinet for Health and Family Services, Division of Child Care on Jul 11, 2026 · Source records · Report an error
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, no current, approved documentation was presented for review to verify that two (2) staff members were free from active tuberculosis. The document submitted for one (1) staff member (DOH: 08.13.24) consisted of a receipt for services, but the document was inconclusive. The document submitted for the second staff member (DOH: 03.12.18) was dated, 01.22.24; therefore, it exceeded two (2) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 10 of 34 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the center failed to have adequate First Aid and Cardiopulmonary Resuscitation (CPR) certification coverage. Only one (1) staff member had current certification from a cabinet-approved source. That staff member was not scheduled to work all hours of operation.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation in the Preschool room, an organizer hanging on the outside of the bathroom door contained a bottle of NABC bathroom cleaner and another spray bottle containing an unidentified liquid. Both bottles were within reach of the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation, the Infant/Toddler clasroom was used as an entrance and exit to the playground by the older classes. There were five (5) one-year-old children present in the room on the day of the inspection.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation in the Infant/Toddler room and Preschool room, the trash cans used to store soiled diapers contained swinging lids. The lids remained in the open position. Therefore, the soiled diapers were not stored in a covered container.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, although there was a sufficient amount of protective surfacing material in the back outdoor play area, the protective surfacing material was sparce underneath the swings, resulting in the exposure of mats.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, one (1) of the four (4) cribs in the infant classroom was no longer in good repair. A chunk of wood was missing from the front, left, outer corner. Interview confirmed the crib was being used.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the bedding in the Toddler classroom was not stored in a sanitary manner. The bedding was folded and stacked on top of each other. Interview confirmed the bedding remains at the center and is washed on Fridays. The inspection was conducted on a Friday. Further interview confirmed that the bedding had been used on the previous days of the current week and will be used and washed later on that day.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the following was determined: Infant Classroom: 1. No thermometer was visible in the mini-refrigerator stored within a closet in the infant classroom. Items intended for the children were stored in the refrigerator Kitchen: 1. The internal temperature within the black side by side refrigerator was forty-six (46) degrees, exceeding the maximum temperature per regulatory standards by six (6) degrees.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation in the kitchen, the upright refrigerator, adjacent to the exit door, was heavily soiled and discolored on the exterior panels, door handle, and on the interior shelves.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, a bottle containing a white liquid was stored in the mini-refrigerator within the closet in the infant room. The bottle was not labeled or covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 26 of 34 Inspection Report Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation in the Infant classroom, a staff member was bottle feeding three (3) infants simultaneously with each infant lying on a Boppy-type pillow on the floor. The sole staff member was aiding each of the infants. The infants were two (2), three (3), and four (4) months old.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.
General: Based on interview, parents provide formula for the infants; however, the staff member prepares the bottles.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.
General: Based on observation, the menu posted conspicuously near the front entrance of the center was dated for the week of 03.02.26 through 03.06.26; therefore, it was not current. Meal Planning/Center Does Not Provide Meals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the enrollment file for a child (DOE: 12.31.25) failed to include contact information for the preferred hospital and an identified family physician.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on interview and review of documentation, the written evacuation plan presented for review was dated, 12.10.24. The staff in charge acknowledged that the plan had not been updated since 12.10.24. She explained that she thought it had to be updated every three (3) years.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on observation and review of documentation, to include the attendance records, the following was determined: 1. Twenty-six (26) children were present; however, only twenty-three (23) were signed in with a time of arrival denoted; 2. For previous weeks during the current month there were fifty-five (55) entries where children were signed in with a time of arrival, but were not signed out with a time of departure noted. 3. There were two (2) entries where the children's times of departure were noted, by the times of arrival were not noted.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the presented staff schedule did not include weekend days or evening shifts. Per reivew of DRCC records, the center is approved to operate twenty-four (24) hours a day, seven (7) days a week. Interview confirmed that the center is opened in the evenings and weekends when needed.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on interview and review of documentation, the following was determined: Infant/Toddler classroom: 1. The posted daily plan of activities was dated for the week of 03.02.26 through 03.06.26; therefore, it was not current. Preschool classroom: 1. The posted daily plan of activities was dated for the week of 03.02.26 through 03.06.26; therefore, it was not current. Toddler classroom: 1. No plan of daily activities was posted.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview and observation on 11/04/25, the child care center had one (1) staff to fifteen (15) children with the youngest child being three (3) years old in the Pre-K Room. General Administration Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 02/13/2026 AND AS OF 02/17/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview and review of documentation, staff advised that abuse or neglect was to be reported to the director. Staff provided the Child Abuse and Neglect reporting policy which states, “All Wendy’s Wonderland Inc. staff members are mandatory child abuse reporters. Suspected cases of child abuse or neglect must be reported to the Kentucky Department of Health and Family Services: As directed to report using chain of command and must be reported immediately. Failure to do so may result in termination of employment and may result to further charges.”
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found a purple fan was covered in dust in the Infant Room.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the surveyor found a staff member (DOH: 01/18/24) obtained pediatric abusive head trauma training on 01/24/20; therefore, the training was not completed every five (5) years as required.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor found three (3) staff supervising twenty-one (21) children with the youngest child two (2) years old. Therefore, the maximum group size was exceeded by one (1) child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 32 Inspection Report
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found no documentation verifying if the staff member (DOH: 03/31/25) obtained a High School Diploma, GED, or Commonwealth Child Care Credential. During interview, staff confirmed the documentation could not be located for the surveyor to review.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff file (DOH: 01/18/24) contained documentation of a tuberculosis screening that was dated 09/14/22, therefore, the tuberculosis screening had not been updated every two (2) years as required. 2. A staff file (DOH: 08/13/24) contained documentation of a tuberculosis screening that was dated 03/24/23, therefore, the tuberculosis screening had not been updated every two (2) years as required. 3. A staff file (DOH: 02/24/25) contained documentation of a tuberculosis screening dated 03/01/23, therefore, the tuberculosis screening had not been updated every two (2) years as required.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. The Toddler Room has a total approved DRCC capacity of five (5) children. The surveyor observed six (6) children in the Toddler Room; therefore, the approved capacity for the classroom was exceeded by one (1) child. 2. The Infant Room has a total approved DRCC capacity of seven (7) children. The surveyor observed nine (9) children in the Infant Room; therefore, the approved capacity for the classroom was exceeded by two (2) children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found dirt and debris on the diaper changing station in the Preschool Room.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation, the surveyor found the following: 1. In the Two-Year-Old Room, the paint was chipping off of the cubby. 2. In the Preschool Room, the paint was chipping off of the cubby.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation and KARES, the surveyor found a staff member’s (DOH: 03/26/18) file contained an Employment Authorization Form with an original eligibility date of 03/26/18. The staff member’s most current KARES determination status was Eligible-Expired. Staff member reported she was not aware that the KARES determination status was Eligible-Expired and advised she would complete a new application in KARES. Staff reported she does not have unsupervised contact with children as she works in the office of the child-care center. The surveyor did not observe the staff member working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation of the Preschool room, the surveyor found a bottle of CleanCide wipes labeled “keep out of reach of children” was in an unlocked diaper changing table cabinet and was accessible to the children. Staff reported the cabinet would be locked. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found a staff member’s (DOH: 02/07/22) file contained a copy of negative tuberculin result dated 05/03/21; therefore, the staff member’s negative tuberculin result needs updated. Staff reported the staff member had a doctor's appointment to obtain an updated tuberculin result. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation, the surveyor found the entry and exit door to the Infant, Toddler, and Preschool playgrounds was located in the Infant/Toddler Classroom. Staff confirmed through interview that the infants, toddlers, and preschool aged children use the Infant/Toddler Classroom room door to enter and exit the Infant, Toddler, and Preschool playgrounds. Staff reported a change would be made to avoid using the Infant/Toddler Classroom as an entry or exit to the playgrounds.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation of the Preschool Classroom’s restroom, the surveyor found the toilet was not secured to the floor and lifted one (1) inch off the floor when pushed. The nuts and bolt caps were missing from the base of the toilet; therefore, the toilet was not in good repair. Staff reported the toilet would be repaired. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation of the Preschool Classroom, the surveyor found the diaper changing area contained dirt, hair, and debris underneath the diaper changing pad; therefore, the diapering surface was not clean. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
Based on observation of the School Age playground, the surveyor found five (5) cigarette butts on the ground. Staff reported the cigarette butts were from a neighboring business.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation of the Toddler/Preschool playground, the surveyor found a five (5) foot branch growing by the fence that was laying across the mulch. This posed a foreseeable hazard. Staff reported the branch would be removed.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation of the Toddler/Preschool playground, the surveyor found the mulch was depleted underneath seven (7) swings and two (2) slides; therefore, there was not an adequate protective surface for equipment used to swing or slide. Staff reported the mulch would be replaced. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor discovered the following: 1. A staff’s (DOH: 3/12/18) personnel file did not contain a written performance evaluation. 2. A staff’s (DOH: 3/26/28) personnel file contained a written performance evaluation dated 1/1/21. Therefore, the surveyor was unable to determine if written performance evaluations were completed annually. Staff-in-charge stated that she did not think that the written performance evaluations were completed in 2022. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview with the staff-in-charge, the surveyor discovered that the personnel file of one (1) staff (DOH: 1/12/23) did not contain a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin result. Staff-in-charge stated that the employee had a certificate; however, she had not provided a copy for the personnel file. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered the following: 1. The sink in the School-Age restroom had dried, dirty water spots in the sink bowl and on the sink top. 2. The sink in each of the Preschool restrooms had dried, dirty water spots in the sink bowl and on the sink top. 3. The toilet in the School-Age restroom had a lid placed on the back of the toilet that did not fit properly, leaving approximately two (2) inches between the replacement lid and the edge of the tank. Approximately one (1)inch of the gap between the lid and the tank left the toilet tank exposed. Therefore, the child-care center failed to keep the premises clean and in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered the following on the playground located at the rear of the building: 1. Three (3) Mott’s squeezable apple sauce containers. 2. Several pieces of discarded paper and packaging on different areas of the playground. 3. A sock and a jacket placed near the base of a swing set. Therefore, the outdoor play area was not kept clean and free of litter and rubbish. Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on review of documentation, the surveyor discovered that the food service permit expired after 12/31/2022. Staff-in-charge stated that she was not sure if they had received a new permit.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation during a tour of the kitchen, the surveyor was unable to locate a thermometer in the side by side refrigerator; therefore, the surveyor was unable to determine if the temperature was maintained at forty (40) degrees Fahrenheit or below as required. Staff in the kitchen stated that she thought that there was a thermometer in the refrigerator; however, she was unable to locate it. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, during a tour of the kitchen, the surveyor was unable to locate a thermometer in the freezer of the side by side refrigerator; therefore, the surveyor was unable to determine if the temperature was maintained at zero (0) degrees Fahrenheit or below as required. Staff in the kitchen stated that she thought that there was a thermometer in the freezer; however, she was unable to locate it. Food Service Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.
General: Based on observation, the surveyor discovered a container of milk, dated 1/23/23, in a mini-refrigerator located in the Infant/Toddler room; therefore, the surveyor was unable to determine if t the milk was free from spoilage. The surveyor observed a child in the Infant/Toddler room drinking what appeared to be milk from a sippy cup. Staff indicated that the outdated milk that was observed in the mini-refrigerator was not the milk that was served to the child. Staff indicated that the milk that the child was drinking came from the kitchen. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor observed a Sprite bottle placed on a shelf that was dividing the Preschool and Two Year Old Classrooms; therefore, the children were able to see and had access to the Sprite bottle. Staff reported that she would talk to staff about having drinks that are accessible to children and able to be identified.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered there was heavy debris on the gray rug located in the Preschool Classroom. Staff reported that she would have the rug cleaned. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered a child's (DOE: 05/19/2021) immunization certificate was current until 07/27/2021. Staff reported that the guardian of the child has not been able to get the child's immunization updated.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found that the file presented for review for a child (DOE: 05/19/2021) contained an enrollment packet dated for 05/19/2021; however, staff stated that child has since been placed into foster care and that a new enrollment packet has not been completed by the caregiver. Staff reported that the information listed on the enrollment packet is not accurate. Therefore, the child-care center failed to maintain children's records.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, the surveyor discovered the following: 1. Two (2) plungers were placed near the commode in the restroom located beside the School Age One Room. 2. Liquid hand soap placed on a sink in the Boy’s Restroom. The restroom is located beside the Preschool Room. The label on the hand soap indicated “keep out of reach of children”. Therefore, the items were accessible to the children causing a potential health and safety issue for the children. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor discovered that a staff’s personnel file (DOH: 8/6/21) contained a negative tuberculin result that was no longer current after 8/8/16. Staff stated that the staff member had a more current result; however, she was unable to present it to the surveyor during the visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. ECE-TRIS and the personnel file for a staff (DOH: 5/2/16) reflected that the employee completed the cabinet-approved pediatric abusive head trauma training on 5/2/16. Pediatric abusive head trauma training must be completed once every five (5) years; therefore, the training needs to be taken again. Staff stated that the employee thought they had completed the pediatric abusive head trauma training in 2021; however, she was unable to provide documentation to verify to the surveyor during the visit. 2. ECE-TRIS and the personnel file for a staff (DOH: 8/6/21) revealed that the employee completed zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training. 3. The personnel file of a staff (DOH: 8/6/21) revealed that the employee failed to complete six (6) hours of cabinet-approved orientation training. Review of ECE-TRIS confirmed that the staff member failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered the following: 1. Black and brown smears on the wall in the Girls Restroom, located beside of the Preschool Room. 2. Brown smears on the wall in the Boys Restroom, located beside of the Preschool Room. Therefore, the premises was not kept clean.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered a ceiling vent cover was missing, which left an open hole in the ceiling that was approximately six (6) to eight (8) inches in diameter in the School Age One Room; therefore, the ceiling was not in good repair. Staff stated they would have the vent cover reinstalled. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child's (DOE: 8/1/19) immunization certificate was no longer current after 9/7/21. 2. A child's (DOE: 5/19/21) immunization certificate was no longer current as of 7/27/21. Therefore, the child-care center failed to maintain a current immunization certificate for the children. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation, the surveyor found that the Emergency Preparedness Plan was dated 1/9/20; therefore, the surveyor was unable to verify if the plan had been reviewed and/or revised within the past year. Staff stated the plan was not submitted to local emergency management by 12/31/21; however, staff had attempted to contact local emergency management and was advised that they could not bring the plan into the office due to COVID. Staff stated in the future they would update the date each year when the plan is reviewed. Staff also stated they would document if there were any problems submitting the plan to local emergency management.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the personnel file for three (3) staff (DOH: 10/25/21, 8/6/21 & 10/18/21) did not contain a written annual professional development plan. Therefore, the surveyor was unable to determine if annual professional development plans were completed as required. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on review of documentation, the surveyor found that the daily planned program posted in each of the classrooms was dated 1/17/22-1/21/22; therefore, the daily planned program was not current. Staff stated that they must have forgotten to post the new daily planned program. Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found a staff’s (DOH: 6/7/21) file did not contain a statement from a health professional stating that the staff was free of active tuberculosis or the file did not contain a copy of a negative tuberculin result. Staff confirmed through interview that the staff did not have the needed documentation in the file. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the hand-washing sink located in the Infant / Toddler Classroom contained dried paint inside the sink bowl; therefore, the sink was not kept clean. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found six (6) children in the Toddler Classroom. Based on review of documentation of the center's diagram, the Toddler Classroom is approved by DRCC for a total capacity of five (5) children; therefore, the minimum of thirty-five square feet per child was not in compliance.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: (1.) A toilet seat was loose on the toilet in the restroom located in the Two to Five Year Olds Classroom; therefore, the toilet was not in good repair. (2.) A toilet contained urine and feces in the restroom located in the Two to Five Year Olds Classroom; therefore, the toilet was not kept clean. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: (1.) The Infant / Toddler Classroom’s diaper changing table contained grime and debris underneath the diaper-changing pad; therefore, the diaper-changing table was not clean. (2.) The Two to Five Years Classroom’s diaper changing table contained grime and debris underneath the diaper-changing pad; therefore, the diaper-changing table was not clean. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found a freezer inside the kitchen contained areas spilt food in the base of the freezer; therefore, the freezer was not clean. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found a child's (DOE: 11/18/2020) file did not contain information for a preferred physician or hospital for the staff to contact in the case of an emergency, Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.
General: Based on observation, the surveyor arrived at the child-care center on 12/07/2021 at approximately 1:00 p.m., and found a sign placed on the door with the following message: Wendy’s Wonderland Inc. Will be CLOSED December 3rd – 15th due to Positive COVID cases At the Center Sorry for Inconvenience’s Therefore, the center had a change of hours and did not notify the Cabinet, in writing, of the change. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation and interview, the surveyor found that one (1) dirty child’s spoon and four (4) baby bottles had been placed inside the handwashing sink located in the infant room. Staff reported that she rinsed the spoons off and laid them inside the handwashing sink. Staff also stated that they place the bottles in the sink instead of on the floor. Rinsing spoons and placing baby bottles inside of a sink used for handwashing causes cross contamination. Therefore, the health, safety, and comfort of children was compromised. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation presented, the surveyor found no verification of a High School Diploma, GED or Commonwealth Child Care Credential for a staff (DOH: 02/25/20). During interview, staff stated the person was still in high school; however, a letter from a school official verifying their current enrollment was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation presented and ECE-TRIS, the surveyor found the following: 1. A staff member had obtained nine (9) hours of the required fifteen (15) hours of annual training for a staff member (DOH: 03/26/18) between the review time of 3/26/18 – 03/25/19. 2. The surveyor was not presented with updated Pediatric Abusive Head Trauma (PAHT) training documentation for a staff member (DOH: 05/31/19). Review of ECE-TRIS revealed that the PAHT training was last completed 09/03/13; therefore, more than five (5) years have lapsed since the training was completed. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found a thick coat of dust on the ceiling air vents in the school age restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found there was not a thermometer located in two (2) refrigerators; therefore, the surveyor was unable to determine if the refrigerators were maintained at forty (40) degrees Fahrenheit or below. During interview, staff stated that they would have the thermometers placed in the refrigerators as soon as possible. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interviews, the surveyor found that staff denied two (2) children telephone access to their parent while they were at the childcare center. The director provided no legal documentation that prohibited the children from having access to the parent. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on interview and review of documentation, to include video footage recorded on 7/18/19 of the School-age Room, the surveyor found the following: 1. A staff person observed a school-age child using a cell phone. The staff person grabbed the phone in an attempt to take it from the child. The child resisted and continued to hold the phone to her ear. The staff person again and more forcefully grabbed the cell phone taking it from the child. 2. Staff did not intervene when an eight-year-old child and an eleven-year-old child were wresting while lying on a mat located on the floor. Both children kicked each other in the face resulting in scratches to their faces. 3. Staff did not intervene when the school-age children were engaged in horseplay. A nine-year-old male child repeatedly put his hands around the necks of younger children in a choking action. The male child pulled a younger female child around by placing a green scarf around her neck. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation during a tour of the childcare center, the surveyor found that staff were not engaging the children in any program activities. Through interview, staff reported they do not utilize the daily planned program.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview, a staff person confirmed she made threats to “beat their ass” referring to the school-age children. She stated she was only referring to her biological children, for which she was also providing supervision, and would not have followed through with hitting the children. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. Verification of a child’s (5/20/19) immunization was not available for review. 2. The verification of immunization for a child (DOE: 4/9/19) had no expiration date; therefore, the immunization status could not be determined.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation on 6/4/19, the surveyor found that the childcare center completed a Child Abuse and Neglect background check for an underage staff person (DOH: 7/20/18) on 9/21/18. The staff person turned eighteen-years-old on 3/26/19. Review of documentation found no verification that the childcare center completed the staff’s National Background Check. Supervision In Compliance Staffing Requirements In Compliance Director Requirements In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
General: Based on review of documentation and interview, the surveyor was presented with a staff file (DOH: 11/12/18) for a staff member that has resided outside the state of Kentucky in Virginia within the past five (5) years. The surveyor was not presented with documentation of the submission of the required out of state background checks or the results of the required out of state background checks. The staff member was not observed working alone with the children. The Staff-in-Charge reported that the out of state background checks were in the process of being requested. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the surveyor was not presented with documentation of any staff meetings conducted within the past year. The last staff meeting documented was dated for March of 2017. The staff-in-charge stated that staff meetings are held regularly; however, she has not been documenting them. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the surveyor was not presented with documentation of a parent/family involvement activity completed within the past year. Staff-in-charge stated that it would be difficult to get any parents to attend an activity at the center. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the following were found: 1. The surveyor was not presented with documentation from a physician that a staff member (DOH; 5/1/18) is free of active tuberculosis. The most recent documentation on file from a physician stating the staff member was free from active tuberculosis was dated 10/21/16 which was not within the past two (2) years. 2. The surveyor was not presented with valid documentation from a physician stating that a staff member (DOH: 11/12/18) is free from active tuberculosis. The documentation on file was not dated. The Staff-in-Charge was not aware that the information on file was not valid.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, review of ECE-TRIS, and interview, the following were found: 1. The surveyor was not presented with fifteen (15) hours of annual training for a staff (DOH: 9/21/15) for 9/21/17 - 9/20/18. Review of ECE-TRIS, revealed that only nine and a half (9.5) hours of annual training had been completed. The Staff-in-Charge was not aware of the training discrepancy. 2. The surveyor was not presented with documentation of the completion of six (6) hours of orientation for a staff member (DOH: 4/5/18). The Staff-in-Charge stated that the employee had completed the orientation training and it should be in ECE-TRIS. Upon review of ECE-TRIS, the surveyor found that the orientation training had not been completed. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, the surveyor found that a toilet plunger, toilet cleaner, and bleach spray cleaner were stored under the sink in the school age restroom. The sink cabinet had a safety lock in place but it was not functioning; therefore, the items were accessible to the children. Staff reported that the safety lock had recently broken.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, the surveyor found an open box of corn starch and loose plasic bags under the sink located in the nursery classroom. The sink cabinet had a safety lock in place but it was not functioning properly; therefore, the items were accessible to the children. Staff stated that the safety lock had not been functioning for a few days. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the following were found: 1. The large blue rug located in the pre-k classroom was soiled with debris and stained. 2. The rug under the green table in the school age classroom was soiled and stained. The Staff-in-Charge was not aware of the condition of the rugs.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the following were found: 1. The sink located in the blue restroom had a soiled paper towel stuffed down the drain. 2. There was a soiled paper towel on the sink in the school age restroom. Staff reported that the restrooms are cleaned daily.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that the base of the toilet located in blue restroom was soiled. Staff stated that the toilet is cleaned daily. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that the diaper changing station locacted in the nursery was soiled with crumbs and debris under the changing mat. Staff stated that under the changing mat is cleaned a few times per week. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation and interview, the surveyor was presented with a first aid kit that did not contain medical tape. The Staff-in-Charge inspected the first aid kit and confirmed that they were out of medical tape.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found that a freezer door was left open and the freezer temperature was reading at forty (40) degrees Fahrenheit. The Staff-in-Charge was not aware that the freezer door had been left open.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation and interview, the following were found: 1. The surveyor observed a breathing machine mask on the sink in the nursery. Upon interview, staff stated they had administered a breathing treatment to a child that morning. Staff stated that if the parent had signed consent for the medication to be administered, it would be up front in the office area of the center. Staff stated that the child's mother had verbally instructed her to administer the breathing treatment. The Staff-in-Charge stated that she was not aware of the parent signing consent for the child to be administered a breathing treatment or any medication. 2. The surveyor observed a bottle of children's cold and cough medication on a bin next to the kitchen door. The Staff-in-Charge stated that the medication was administered to her biological child that morning after signing the child into the center. The Staff-in-Charge reported that she had not signed consent for the medication to be administered to the child at the center since she had administered it herself.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation and interview, the following were found: 1. The surveyor observed a breathing machine mask on the sink of the nursery classroom. Staff confirmed through interview that she had administered a breathing treatment to a child that morning. When the surveyor asked to see the medication administration documentation, staff stated she did not know she was supposed to document she had given the medication to the child. 2. The surveyor observed a bottle of children's cold and cough medication on a bin next to the kitchen door. Upon interview, the Staff-in-Charge stated they had administered that medication to their biological child that morning after the child was signed in. The Staff-in-Charge stated they had not documented administering the medication. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation and interview, the following were found: 1. The surveyor observed a breathing machine mask on the sink in the nursery classroom. Staff confirmed that she had administered a breathing treatment to a child that morning. Staff stated that the medication is locked up at the front of the center. The Staff-in-Charge showed the surveyor a medication lock box where all medications are supposed to be stored; however, there was no breathing machine medication in the lock box. Upon further interview of nursery staff, it was discovered that the medication was stored with the breathing machine on a shelf in the nursery where it was not locked. 2. One (1) tube of A&D Diaper Ointment was left on the changing table in the nursery classroom where it was accessible to any child that would be placed on the changing table for a diaper change. 3. One (1) tube of diaper rash cream was located on the tray of a blue child seat that was located in the floor of the nursery classroom. The diaper rash cream was accessible to the children. 4. A bottle of children's cold and cough medication was located on top of some plastic bins by the kitchen door. The medication was not locked and thus accessible to children. The Staff-in-Charge stated she had administered the medication to her biological child that morning. Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the surveyor found that the back playground was littered with cigarette butts. The Staff-in-Charge stated that this was caused by people that play bingo next door who smoke and throw their cigarettes onto the playground. Equipment Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the following were found: 1. There was a dried white substance that appeared to be dried milk on the black milk crates used for toy storage in the one's classroom. Staff stated that the classroom was not being used. 2. There were three (3) high chairs in the nursery that were soiled with food crumbs and dried food was smeared on the trays. 3. Three (3) exersaucers located in the nursery had trays that were soiled with debris and dried milk. Staff stated that large equipment is cleaned once weekly. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the surveyor found that three (3) bicycles located on the front playground were missing pedals thus exposing the sharp metal edges that present a safety risk to the children. The Staff-in-Charge was not aware of the condition of the bicycles. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found that the top of the mini refrigerator located in the one's classroom was soiled with a white substance that appeared to be dried milk. Staff stated that the classroom is not being used. Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the surveyor was presented with a professional development plan for a staff member (DOH: 9/21/15) that was dated for November of 2017; therefore, the professional development plan was not updated annually as required. The Staff-in-Charge was not aware of the professional development plan needing to be updated.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the surveyor was not presented with documentation of a monthly fire drill conducted during November of 2018. The Staff- in-Charge stated that the fire drill had been conducted; however, she forgot to document it. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation and interview, the surveyor did not observe that a Consumer Product Safety Flyer or recall information was posted anywhere inside the center. The Staff-in-Charge stated that the center had recently been painted and she had forgotten to repost the information.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that the hand washing procedures were not posted at the diaper changing area inside the Pre-k classroom. The Staff-in-Charge was not aware that information was not posted. Animals In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview, the surveyor determined that staff are taking children to the kitchen for disciplinary reasons; therefore, they are associating food with discipline. Multiple staff reported in interview that the staff-in-charge has been observed taking various children to the kitchen for disciplinary reasons. Multiple staff explained in interview that the children emerge from the kitchen visibly upset and crying. The Staff-in-charge stated that she has taken her own child in the kitchen to calm down when he upset. Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on interview, the surveyor determined that children are being permited inside the center kitchen. Multiple staff members reported in interview that the staff-in-charge has been observed taking various children into the kitchen. The Staff-in-charge stated that she has only taken her own child into the kitchen when he is upset so that he may calm down. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found that the file for a staff (DOH: 07/23/18) did not contain a copy of a negative tuberculin result. Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation during a tour of the Infant/Toddler Room, the surveyor found that an empty plastic bag and a sharp-pointed screw were on the floor within reach of a toddler-age child. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found that a child's (DOE: 01/03/18) file contained an immunization certificate was no longer current as of 07/04/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation during a tour of the School-age Room, the surveyor found a decayed banana in the refrigerator.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation during lunch, the surveyor found that the children were served milk, gravy, biscuits, sausage, eggs and oranges. The children did not receive a second fruit or vegetable component. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation contained in ten (10) children’s files, the surveyor found the following: 1. Three (3) files did not contain information to enable a person in charge to identify or contact the preferred hospital. 2. One (1) file did not contain information for a person in charge to contact the family physician. 3. Two (2) files did not contain authorization by the parent for the childcare center to seek emergency medical care for the child in the parent’s absence. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found that twenty-one (21) children were present at the childcare center. Review of the Daily Attendance Record found that only eighteen (18) of the children’s arrival times were documented.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found the following: 1. No verification was found that earthquake drills were conducted for the second and third quarters of 2017. 2. Verification was found that tornado drills were conducted. However, the same time of day was recorded for tornado drills and fire drills for the second and third quarters of 2017.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found verification that fire drills were conducted. However, the same time of day was recorded for fire drills and tornado drills for the second and third quarters of 2017. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the surveyor found that the childcare center’s liability insurance was no longer current as of 06/01/16. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found that the file for a staff (DOH: 11/02/15) contained an employee performance evaluation dated 01/18/16. A 2017 employee evaluation was not available for review.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation during a tour of the childcare center, the surveyor found the following: 1. A toddler-age child was sitting in a high chair in the Infant and Toddler Room. The child was not secured with the safety straps. 2. An unsecured television was placed on a cart, that was approximately three (3) feet high, located in the School-age Room. The unsecured television presented a safety risk to the children. 4. A toilet plunger was observed in an unlocked cabinet located under the sink in the restroom used by the school-age children. The plunger was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that a staff’s (DOH: 10/23/17) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 09/21/15) file contained a copy of a negative tuberculin result that was no longer current as of 08/10/17. 2. A staff’s (DOH: 04/11/16) file contained a copy of a negative tuberculin result that was no longer current as of 03/12/17. 3. A staff’s (DOH: 11/02/15) file contained a copy of a negative tuberculin result that was no longer current as of 11/24/17.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that the Type I childcare center has two (2) substitute staff persons in the case of need. However, only one (1) substitute staff meets qualifications based on lack of annual training hours and lack of a current negative tuberculin result.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that the Type I childcare center has two (2) substitute staff persons in the case of need. However, only one (1) substitute staff meets qualifications based on lack of annual training hours and lack of a current negative tuberculin result.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. No verification was found that a staff (DOH: 09/21/15) obtained any hours of cabinet-approved early care and education annual training. 2. No verification was found that a staff (DOH: 11/02/15) obtained any hours of cabinet-approved early care and education annual training. 3. No verification was found that a staff (DOH: 08/22/16) has obtained six (6) hours of cabinet-approved orientation training. 4. No verification was found that a staff (DOH: 05/01/17) has obtained six (6) hours of cabinet-approved orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation, the surveyor found the following: 1. During a tour of the Preschool Room on 12/20/17, the surveyor found that the daily planned program was dated 11/2017. The lesson plan was not current. 2. The surveyor found that a daily planned program was not posted in the Infant Room. Through interview with staff, the surveyor learned that a daily planned program was not available for review. Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor found the following: 1. A bottle of hand sanitizer was stored on an approximate three (3) foot tall shelf located in the Preschool Room. The label on the hand sanitizer instructed for it to be kept out of the reach of children. The hand sanitizer was accessible to the children. 2. A set of keys was found on an approximate three (3) foot tall shelf located in the Preschool Room. Through interview, the surveyor learned that the keys belonged to a staff person. The staff person’s personal items were accessible to the children. 3. A cell phone was observed on a stool located near the entry door. Through interview, the surveyor learned that the cell phone belonged to a staff person. The cell phone was accessible to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. A thick coating of dust was observed on the air vents located in the ceiling of both restrooms used by the children. 2. Dead bugs were observed in the light fixtures located in the restrooms used by the children.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found an approximate two by two (2x2) inch hole in the sheetrock located beside the commode in the boys’ restrooms. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found that a toilet contained feces located in the restroom used by the School-age children. Through interview, the surveyor learned that the toilet will not flush and is not in good repair. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found tears in the vinyl covering of the diaper changing pads located in the Infant and Toddler Room and in the Preschool Room.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on interview, two (2) staff reported that mouth contact toys are sanitized by placing them in a bucket containing bleach water for approximately one (1) minute and then air dried. The proper method for sanitizing mouth contact toys is to wash in warm soapy water, using a brush to reach into crevices, rinse in clean water, submerge in a sanitizing solution for at least two (2) minutes and air dry. First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation, the surveyor found a bottle of children’s cold medicine and a bottle of acetaminophen on a shelf located over the sink in the kitchen. The kitchen door was not locked or secured. The medication was not stored in a separate and locked place. Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the playground, the surveyor found the following: 1. Numerous cigarette butts were observed on the playground located at the rear of childcare center. The cigarette butts were accessible to the children. 2. Numerous papers/debris was observed on the playground located in the front of the childcare center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found no mulch around a climbing/slide structure located on the playground. Equipment Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation during a tour of the playground, the surveyor found that the legs of a Little Tykes table were loose allowing the table to lean to the ground. The table was not in good repair. Transportation Not Applicable Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation during a tour of the kitchen, the surveyor found spills and food particles on the interior base of the refrigerator.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation, the surveyor observed two (2) one-year-old children sleeping in their cribs with a bottle and sippy cup. Programming In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, the surveyor found that a large fish tank contained dark green murky water; therefore, the fish tank was not appropriately maintained.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation during a tour of the Infant and Toddler Room, the surveyor found that a tube of Ora-Jel was stored in a mesh pocket located on the outside of a diaper bag. The medication was not stored in a separate and locked place. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation during a tour of the childcare center, the surveyor found that a three-month-old infant was lying in a bouncy seat that was placed on the floor. The safety straps were not fastened to secure the child into the bouncy seat. Employee Records In Compliance Programming In Compliance First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interviews, the surveyor found the following: 1. On 12/21/16, two (2) preschool-age children were fighting over a child-size art easel. One (1) child then pushed the other child. A staff person picked up the easel by placing her hands on each side. She then pressed the art easel onto a three-year-old child’s torso while pushing him backward against a white shelf. The child was loudly crying. The staff person proceeded to say “huh, huh, huh,” as if seeking an answer to a question. The child’s head fell back onto the top of the shelf. The staff person held the child in this position for approximately four (4) seconds before releasing him. 2. On 12/21/16, a staff person picked up and cradled a three-year-old child in her arms. She told him that if he wanted to act like a baby then she was going to treat him like a baby. She proceeded to roughly rock him back and forth while he cried. 3. On 12/21/16, a three-year-old child hit a staff person with a spoon. Interviews conclude that the staff person took the spoon and hit the child on the arm. The staff person confirmed that she poked the child with the spoon. 4. A staff person admitted that she held a three-year-old child in her lap and refused to allow him to get up. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interviews conducted on 12/22/16, the surveyor found the following: 1. Two (2) staff admitted that they have used corporal physical discipline with their biological children while in attendance at the child care center. 2. A staff person told preschool-age children that she would withhold food if they did not behave. 3. A staff person used a loud tone of voice and threatened to take off her belt and whip a two-year-old child. 4. A staff person told a three-year-old child that if he acted like a baby, she was going to treat him like a baby. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found that verification of a child’s immunization status was not available for review at the time of the visit. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found that a child's arrival and departure times had not been recorded on the Daily Attendance Record for 12/21/16.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation during a tour of the childcare center the surveyor found the following: 1. A surge protector was on the floor protruding out from behind a desk. Three (3) of the outlets were unprotected. The surge protector was accessible to children; therefore, creating a safety risk. 2. A thirty-two (32) inch flat panel TV was sitting on a low desk. The TV was not mounted on a stand and was leaning against the wall. The TV was accessible to children; therefore, creating a safety risk. 3. From the preschool classroom, the surveyor observed a roach to be crawling on the door leading to the kitchen. The roach was in the presence of the children; therefore, creating a health risk.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation, the surveyor found that a new criminal records check (CRC) or a new child abuse/neglect check (CAN) had not been completed for a staff member with a rehire date of 04/11/16. Based on observation and an interview with the director, the surveyor was informed that the staff member has been working alone with children. The surveyor was also informed that a new CRC and CAN check was completed but were not at the center for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the surveyor found the following: 1. A child abuse/neglect check (CAN) has not been completed on an employee (DOH: 11/7/16). In an interview with the director, the surveyor was informed that the employee is under the age of 18, is not counted in the child/staff ratio, and is never alone with the children. 2. A new criminal records check (CRC) or a new child abuse/neglect check (CAN) had not been completed for a staff member with a rehire date of 04/11/16. Based on observation and an interview with the director, the surveyor was informed that the staff member has been working alone with children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, three (3) staff member's (All with a DOH: 09/21/15) files were not available for review. In an interview with the director the surveyor was informed that the staff member's files were at another location.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff member’s (DOH: 05/05/16) file did not contain verification that the staff member is currently enrolled in high school. 2. A staff member’s (DOH: 11/07/16) file did not contain verification that the staff member is currently enrolled in high school. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff member’s (DOH: 09/20/16) file did not contain a current negative TB skin test result. 2. A staff member’s (DOH: 12/12/16) file did not contain a current negative TB skin test result. 3. A staff member’s (DOH: 11/07/16) file did not contain a current negative TB skin test result. 4. A staff member’s (DOH: 12/12/16) file did not contain a current negative TB skin test result. 5. A staff member’s (DOH: 07/13/15) file contained a negative TB skin test that was no longer current as of 09/08/16.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff member (DOH: 07/13/15) did not complete a total of nine (9) hours of approved training as required in the first year of employment. A review of ECE-TRIS found that the staff member had obtained one and one half (1 ½) hours of training during their annual training year of 7/13/15-7/12/16. A review of the staff members file found no additional training documentation. 2. A staff member (DOH: 09/21/15) did not complete a total of nine (9) hours of approved training as required in the first year of employment. A review of ECE-TRIS found that the staff member had obtained six (6) hours of training during their annual training year of 9/21/15-9/20/16. The staff members file was not available for review at the time of the survey. 3. A staff member (DOH: 09/21/15) did not complete a total of nine (9) hours of approved training as required in the first year of employment. A review of ECE-TRIS found no additional training documentation. The staff members file was not available for review at the time of the survey. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, during the survey of the boys' restroom the surveyor found a plunger had been placed next to the toilet. The plunger was accessible to children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, from the preschool classroom, the surveyor observed a roach to be crawling on the door leading into the kitchen. Inside the kitchen, the surveyor observed that two (2) Orkin pest control traps had been placed in the floor. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, of the childcare center playgrounds, the surveyor found the following: 1. An empty, plastic, mulch bag was located on the playground in front of the childcare center. 2. Several Styrofoam cups were located near the fence on the playground located behind the childcare center.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, of the childcare center playground located behind the building, the surveyor found the following: 1. Three (3) Little Tikes climbing structures with slides were broken apart and lying on the ground. 2. The lining under the mulch was exposed in three (3) areas around two (2) climbing structures. Equipment Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, during a tour of the preschool classroom, the surveyor observed several children’s blankets had been placed together where cots are stored; therefore, the children’s items were touching and were not being stored separately.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, during a tour of the childcare center the surveyor found the following: 1. A rug located in the school-age classroom was soiled with several dark spots. 2. A rug located in the preschool classroom was soiled with several dark spots. 3. Three (3) out of the four (4) high chairs located in the one-year-old classroom were not equipped with safety harnesses. 4. Three (3) out of the four (4) high chairs located in the one-year-old classroom had an unknown substance dried on the trays and food crumbs in the seats. 5. None of the three (3) high chairs located in the infant classroom were equipped with safety harnesses. Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, a child's (DOE: 08/12/16) file contained an immunization certificate that is no longer current as of 11/3/16. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the surveyor learned that one (1) child (DOE: 9/27/16) was in attendance at the center on 9/26/16 prior to the completion of the enrollment packet. The child was signed into the center on 9/26/16 at 7:30 a.m. and signed out at 5:38 p.m. per the Child Care Daily Attendance Record. The child's enrollment packet documents the date of enrollment as 9/27/16. Upon interview, the staff in charge reported that the child was dropped off at the center on the morning of 9/26/16; however, the parent did not complete the enrollment packet and return it until the following day on 9/27/16. Per interview with the parent, the enrollment packet was not provided to them for completion until the afternoon of 9/26/16 when they came to pick the child up from the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the surveyor found that the center's daily attendance records for 10/6/16 did not document the arrival time or departure time for one (1) child (DOE: 9/27/16). Upon interview, staff reported that the child had been in attendance at the center on 10/6/16.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the center did not maintain a written record of staff meetings conducted.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation and interview, surveyor found one (1) electrical outlet without a protective cover located behind the highchairs in the Infant classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation and interview, surveyor found there were five (5) children present ranging in age from four (4) months to four (4) years old and combined in one (1) classroom thus infant's were combined with older children. Staff present stated upon interview that they were the only staff present.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, surveyor found a soiled broom and dust pan located in the corner by the changing table in the Infant Classroom which was within reach of the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, surveyor found the girls' restroom located outside the Infant classroom did not contain a supply of toilet paper.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the following was found: (1) The restroom by the entrance did not have a hand dryer or supply of hand towels for drying hands. (2) The restroom by the entrance did not have access to warm water due to the faucet being broken and shutting the water off when switched to warm water from cold.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation and interview, surveyor found children's individual bedding stored on top of an extra changing table in the infant classroom, the bedding was stored in an unsanitary manner as the blankets were touching.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, surveyor found two (2) freezers located in the kitchen that did not have a thermometer thus it is not possible to ensure food is stored at the required temperature of zero (0) degrees Fahrenheight or below.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, surveyor found two (2) unlabeled bottles in the Infant Classroom, one (1) bottle was being fed to an infant and one (1) bottle was sitting on the counter next to the sink. Upon interview, staff confirmed one child's bottles were not labeled.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, six (6) children's files presented for review (DOE: 10/29/15, 10/29/15, 10/29/15, 10/20/15, 10/20/15,10/20/15) did not contain immunization records. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the following was found: (1) Three (3) children's files presented for review (DOE: 10/29/15, 10/29/15, 10/29/15) contained enrollment applications that had not been signed by the parent/guardian. (2) Four (4) children's files presented for review (DOE: 10/29/15,10/29/15, 10/29/15, 10/20/15) did not contain the preferred physician or preferred hospital information and telephone numbers. (3) One (1) child's file presented for review (DOE: 11/2/15) did not contain the preferred hospital telephone number.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the center did not maintain a written record of earthquake and tornado drills conducted quarterly with date, time and children who participated.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the center did not maintain a written record of fire drills conducted monthly with date, time, and children who participated.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on review of documentation and interview, the center did not have the information on the Kentucky Consumer Product Safety Program and website posted.
Open Not marked corrected in the state record
Open / not marked corrected.